NU661 Adult Gerontology Primary Care I Final Exam (week 15) study material with expert solutions

Hot tub foliculitis

a skin infection caused by the bacteria Pseudomonas aeruginosa

The two core features of autism spectrum disorder (ASD) are:

Social communication and interaction deficits

Restricted and repetitive behaviors, interests, or activities

Tinels sign

provider percuss median nerve and tingling results

A "warm, boggy, tender prostate with Escherichia coli"

A "warm, boggy, tender prostate with Escherichia coli" indicates a likely case of acute bacterial prostatitis, where the prostate gland is inflamed and infected by the bacteria E. coli, causing it to feel warm, swollen, and tender to the touch during a rectal examination;

after stopping fluoxetine how long to wait before taking maoi

5-6 weeks

Epidural Hematoma

A "loss of consciousness, brief lucid moment followed by momentary unconsciousness" is typically referred to as a "lucid interval," and is often a classic sign of an epidural hematoma

What to do when a patient has a severly angulated long bone fracture

refer to Emergency dept

A severely angulated long bone fracture typically requires surgical intervention, where a surgeon will realign the bone fragments through a procedure called "open reduction"

Treatment for acute otitis media and pcn allergy

Azithromycin

If you have acute otitis media (ear infection) and a penicillin allergy, treatment typically involves antibiotics like azithromycin (Zithromax) or cefdinir (Omnicef),

Monitor this in children taking Methylphenidate

Growth Parameters

Patients for whom methylphenidate treatment is deemed appropriate should be carefully monitored as follows: Blood pressure should be recorded at every dose adjustment and then at least every six months; pulse should also be recorded. Height, weight and appetite should be recorded at least every six months.

new onset of headache fever chills and confusion for 17 year old

Meningitis

trans man taking testosterone and undergone a mastectomy and hysterectomy at risk for ?

Cardiovascular disease

Guanfacine and clonidine

initial choice for pharmacological management of Tic disorders but is not FDA approved-

When to remove face sutures

Macrocytic anemia

MCV over 100

Cardinal Sign in sickle cell anemia

Pain

First line treatment for bipolar disorder

Lamotrigrine

Rosacea

inflammatory papules on face, flushing , telangiectasia and dry eyes-

Inhaled Corticosteroid

daily asthma controler to add to rescue inhaler

MS new onset symptoms- electric tingling

Corticosteroid for new onset of Multiple sclerosis symptoms that include electric tingling sensation

Solu-Medrol

Depo-Medrol

Essential feature of bipolar 1

Manic episodes or Mania

Definition of fever unknown etiology

Fever of unknown origin (FUO) is a condition where a patient has a fever that can't be attributed to any cause, even after being examined by multiple doctors. It's defined as a temperature of 101°F or higher that lasts for more than three weeks

What A1c do you start insulin

7.0% or higher for type 2

9% for other patients

Insulin therapy for type 2 diabetes is typically recommended when an individual's A1C level is 7.0% or higher after two to three months of oral therapy. Other factors that may lead to insulin therapy include:

An A1C level of 9% or higher

positive coombs test, spherocytes on peripheral blood smear

autoimmune hemolytic anemia (AIHA)

A positive Coombs test combined with spherocytes on a peripheral blood smear most likely indicates autoimmune hemolytic anemia (AIHA), a condition where the body's immune system produces antibodies that attack and destroy red blood cells,

what type of leukemia has philidelphia chromosome

Chronic myelogenous leukemia (CML)

The Philadelphia chromosome is a diagnostic feature of CML, a slow-growing blood cancer. It's found in the blood cells of almost all people with CML.

inflammation of eyelid that disrupts meibomiam glands

Blepharitis

and meibomianitis are both conditions that involve inflammation of the eyelids and can affect the meibomian glands

Most important question to ask in evidence based practice

How will the findings be used

trans women that has undergone gender affirming surgery get digital rectal exams or pelvic exams?

I found two answers to this question

FDA approved Medication for Bulimia treatment

fluoxetine (Prozac).

. Specific antidepressants may reduce the symptoms of bulimia. The only antidepressant that the U.S. Food and Drug Administration (FDA) has approved specifically to treat bulimia is fluoxetine (Prozac).

% of burns if both bilateral front of legs are burned

18% for each leg

so 36% total

Dysphoria

type of psychological issues transgender individuals have prior to and during treatment

What would designate a patient to not be kept in the hospital for bulimia

refusal to eat for 24 hours

Anxiety & depression symptoms must have occured at least ________ prior to patient being diagnosed and treated.

6 months

which burn does not require transfer to burn center specializing in burns

anterior forearm burn

Best way to X-ray a patient with Chest/ blunt chest trauma

Supine

anterior / Posterior chest x-ray

Depression

low mood, lack of positive affect and anhedonia for at least 2 weeks

For CAT and dog bites

treatment with Amoxicillin/ Clavulanate 3-5 days

Delayed Serum type sickness reaction from - bees, wasps ,

Epi / Histamine blocker (antihistamine)

Bees - remove stinger

Tick - doxycycline

Heat stroke management

Stop current exercise or activity

Fluid and electrolyte mangement

RECTAL temp

Cool patient (option may not be available)

Concussion managment in teens

rest

cannot be cleared with worsening sympmtoms for over 24 hours